| NPI | 1861262404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1142337) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 77027) |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-08-07 |